MEDICARE: MAGDALENA RODRIGUEZ DNP, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN002390	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316499817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENA RODRIGUEZ DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	2080 E FLAMINGO RD STE 312
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5181
Country	:	US
Telephone Number	:	702-528-2195
Fax Number	:	702-778-8026

Provider Business Practice Location Address
First Line	:	2080 E FLAMINGO RD STE 312
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5181
Country	:	US
Telephone Number	:	702-528-2195
Fax Number	:	702-778-8026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2016
Last Update Date	:	08/30/2021

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